Regional VP of Contracting, South Central region

Humana • Arlington, TX

2d • Remote

About The Position

Humana is seeking an accomplished healthcare leader for the position of Regional Vice President (RVP) Provider Contracting. The RVP will provide executive leadership to the Provider Contracting team that supports Humana’s Medicare line of business in the South Central Region, which includes Texas, Oklahoma and Arkansas. 35% travel should be expected in this role. The ideal candidate will live in the South Central Region ((TX, OK, or AR) and will consider highly qualified candidates who live geographically adjacent to Texas. The ideal candidate will have deep expertise with the provider community and contracting. He/she will have extensive business leadership experience, with several years in a managed care environment leading contracting for Medicare products. This person will also possess comprehensive knowledge of health plan finance and the compensation arrangements between health plans and providers, including plan funding, risk management, and provider reimbursement.

Requirements

• 5 plus years leadership experience in the healthcare industry
• Experience leading the end-to-end contract negotiation process through closure for all types of providers (physicians, hospitals, post-acute care facilities) and delegated specialty services across Medicare, Medicaid and Employer Group segments.
• Knowledge of value-based risk arrangements and ability to influence these arrangements.
• Solid track record of hiring and developing talent and preparing associates for roles of broader and greater responsibility
• The ability to identify health service expenses and implement cost control mechanisms within contracts.
• Experience identifying and recruiting providers to ensure network alignment with planned sales process execution, orienting providers and managing relationships, and driving improvement in provider satisfaction via education, communication and streamlining claims resolution.
• Prior executive leadership experience in sales, finance, legal, health services, and/or medical management; demonstrated ability to partner across functions to create and deploy win/win strategies.
• Recognition as a thought leader in the area of healthcare trend mitigation.
• Ability to effectively navigate and manage through a matrixed organizational environment in a large (Fortune 250) company.
• Strong relationship management skills, to teach, tailor, and take control of opportunity definition and initiation with business partners.
• Excellent oral and written communications skills, including the polish, poise, and executive presence that will ensure effective interaction with audiences and positive representation of Humana in external forums.

Nice To Haves

• Bachelor's or Master's or J.D. degree
• Record of success leading provider contracting and provider engagement activities for all lines of business

Responsibilities

• Provide executive leadership to the Provider Contracting team supporting Humana’s Medicare line of business in the South Central Region (TX, OK, AR).
• Lead the end-to-end contract negotiation process through closure for all types of providers (physicians, hospitals, post-acute care facilities) and delegated specialty services across Medicare, Medicaid and Employer Group segments.
• Identify health service expenses and implement cost control mechanisms within contracts.
• Identify and recruit providers to ensure network alignment with planned sales process execution.
• Orient providers and manage relationships.
• Drive improvement in provider satisfaction via education, communication and streamlining claims resolution.
• Partner across functions to create and deploy win/win strategies.
• Navigate and manage through a matrixed organizational environment in a large (Fortune 250) company.
• Teach, tailor, and take control of opportunity definition and initiation with business partners.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed